Healthcare Provider Details

I. General information

NPI: 1881814689
Provider Name (Legal Business Name): HOWARD J SCHERTZINGER, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 01/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8746 UNION CENTRE BLVD
WEST CHESTER OH
45069-4876
US

IV. Provider business mailing address

8746 UNION CENTRE BLVD
WEST CHESTER OH
45069-4876
US

V. Phone/Fax

Practice location:
  • Phone: 513-942-5800
  • Fax: 513-942-0666
Mailing address:
  • Phone: 513-942-5800
  • Fax: 513-942-0666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number35-065311
License Number StateOH

VIII. Authorized Official

Name: HOWARD J SCHERTZINGER
Title or Position: CEO
Credential: M.D.
Phone: 513-942-5800